Change d’une protection

Change d’une protection OBJECTIFS

-         Permettre le confort des parents inconscients.

-         Maintenir la peau propre.

-         Eviter les scarres.


-         1 change complet (jour ou nuits) :

-         La protection rectangulaire pour incontinence légère chez la femme. C’est une protection rectangulaire qui est fixée avec un slip filet.

-         La protection automatique pour incontinence moyenne chez l’homme et chez la femme. Elle se fixe de la même façon que la précédente.

-         Le change complet pour incontinence moyenne ou forte chez l’homme ou la femme. C’est la technique dans cette fiche.


-         1 Cuvette avec eau chaude.

-         1 gant.

-         1 savon.

-         1 serviette.

-         Pommade pour la prévention des escarres (celle utilisée par le service).

-         Papier toilette ou de la cellulose.

-         1 sac poubelle.




-         Se laver les mains.

-         En cas de selles :

-         Mettre des gants.

-         Enlever le “ le plus gros“ avec la protection de la toilette. voir fiche n° 7 toilette génito-anale.

-         Tourner  le patient alite sur le coté.

-         Glisser la protection par l’avant (afin d’éviter d’amener des germes fécaux ver la région uro-génitale) (figure A1).

-         Déplier le plus possible les parties avant le change (figureA2).

-         Tourner le patient sur l’autre coté.

-         Déplier alors complètement les parties arrière du change (figureA3).

-         Remettre le patient sur le dos.

-         Fixer d’abord les bandes adhésives supérieurs. Puis celles inférieures (figure A4).

-         Vérifier l’ajustement.




-         Transmissions orales à l’infermier (ère)  et écrites sur le dossier de soins.

-         Irritations, rougeurs, coupures, début d’escarres.

-         Urines.

-         Selles (quantité et aspect)

40 votes. Moyenne 2.23 sur 5.

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